Core Stability Traning Exercises in Chronic Ankle Instability in Atheletes

November 10, 2024 updated by: abanoub malak latif, Pharos University in Alexandria

ADDING CORE STABILITY EXERCISES TO CONVENTIONAL PROGRAM IN ATHLETES WITH CHRONIC ANKLE INSTABILITY

To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Chronic Ankle Instability (CAI) is a prevalent and debilitating condition that afflicts a considerable portion of the population (Al Adal et al.,2020) it is a condition characterized by repetitive episodes or perceptions of the ankle giving way; ongoing symptoms such as pain, weakness, or reduced ankle range of motion (ROM); diminished self-reported function; and recurrent ankle sprains that persist for more than 1 year after the initial injury (Gribble et al.,2013).

Purpose of the Study To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI Methods:Triple Blinded RCT (Blinded: Participants, Research Assistant (for assessment of patient pre- and post-intervention) and statistician) Results :An unpaired t-test will be conducted for comparison of age, weight, and height between groups.

  • Chi-squared test will be conducted for comparison of sex distribution between groups
  • Mixed MANOVA will be conducted to compare the effect of time (pre versus post) and the effect of treatment (between groups), as well as the interaction between time and treatment on dependent variables.
  • The level of significance for all statistical tests will be set at p < 0.05.
  • All statistical measures will be performed through the statistical package for social sciences (SPSS) version 25 for Windows.

Study Type

Interventional

Enrollment (Estimated)

28

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Athletes having a history of chronic lateral ankle sprain during the offseason period.

    2. Patients aged between 19-30 years, with BMI ranging between (18.5-29.5kg/m2).

    3. Patients having unilateral CAI with the diagnosis to be based on the criteria described by the International Ankle Consortium for enrolling patients of CAI in controlled research (Gribble et al., 2014) as follows:

    1. A history of at least one significant ankle sprain (the initial sprain must have occurred at least more than 3 months prior to study enrollment, at least one interrupted day of desired physical activity.
    2. Participants should report at least 2 episodes of giving way and/or recurrent sprain and/or feelings of instability in the 6 months prior to study enrollment.

    3. Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire, CAIT>24.

      Exclusion Criteria:

  • Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery.

    2- Those with LBP that required medical or surgical intervention. 3- Those who participated in supervised or unsupervised ankle rehabilitation within 3 months before enrollment in the study.

    4- Having a history of an acute lower extremity injury in the 3 months before the study.

    5. Participation in formal rehabilitation in the 3 months before the study. 6. Having a history of lower extremity surgery or fracture that required alignment in the involved limb.

    7. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Control Group
  1. Single legged stance:
  2. Single-legged stance on the balance board
  3. Single legged hop
  4. Quadrant Hop:
  5. Single legged Ball Catch:
  6. Hop ups and downs:
Other: balance exercise
Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).
Experimental: Experimental Group

Participants Will perform the same exercises in addition to core exercises

The core exercises will include 12 different exercises:

Week 1 :

  1. Abdominal Drawing In
  2. Abdominal Drawing in with alternating lower limb movement
  3. Pelvic tilting with standing
  4. Forward lunge

Week 2 :

  1. Bracing with bridging
  2. Curl up with bracing
  3. Quadruped with bracing
  4. Side plank with knee flexed

Week 3 :

  1. Bracing with straight leg raising
  2. Quadruped leg lift with bracing
  3. Bridging with bracing on a Swiss ball
  4. Side plank with the knee extended

Week 4 :

  1. Alternate arm and leg raise from quadruped
  2. Abdominal drawing in with a squat against a wall
  3. Single limb deadlift
  4. Squat with overhead sustained lift
Other: balance exercise
Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).
Other: Core stability exercises
Core stability exercises are physical activities designed to improve the strength, endurance, and coordination of the muscles that support and stabilize the spine, pelvis, and torso. These exercises specifically target the muscles of the abdomen, lower back, hips, and pelvis, collectively referred to as the "core." The goal is to enhance overall posture, prevent injury, and improve performance in daily activities or sports by increasing the body's ability to stabilize itself during movement.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Star Excursion Balance test
Time Frame: 4 weeks
is a reliable functional test to evaluate dynamic postural control of the lower limb and distinguish CAI from copers and healthy individuals
4 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Functional Instability
Time Frame: 4 weeks
The Cumberland Ankle Instability Tool assesses ankle instability during activities of daily living and sports and is valid and reliable for determining the presence of CAI
4 weeks
Functional Performance
Time Frame: 4 weeks
Functional performance tests are dynamic measures used to assess general lower body function. These tests are helpful because they combine multiple components, such as muscular strength, neuromuscular coordination, and joint stability, which could be affected after joint injury.
4 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Pharos University in Alexandria

Investigators

  • Study Chair: Enas Fawzy Yousef, Professor, Cairo university
  • Study Director: Tarek Saad, Associate Professor, Cairo university
  • Study Director: Aya Ahmed Nada, PHD, Pharos University in Alexandria

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 1, 2024

Primary Completion (Estimated)

June 1, 2025

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

November 6, 2024

First Submitted That Met QC Criteria

November 6, 2024

First Posted (Actual)

November 7, 2024

Study Record Updates

Last Update Posted (Estimated)

November 13, 2024

Last Update Submitted That Met QC Criteria

November 10, 2024

Last Verified

November 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC/012/005346

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Chronic Ankle Instability and Balance

Clinical Trials on balance exercise

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Ghana

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe